| 摘要: | 
			 
		     | 目的通过观察干扰素调节因子3(IRF3)对瘢痕疙瘩成纤维细胞增殖和细胞外基质表达的作用,探讨IRF3在皮肤纤维化中的调控机制。方法取行瘢痕疙瘩切除手术的10例患者的术中切除的瘢痕疙瘩组织为研究材料,另择8例外科手术患者的正常皮肤组织为对照,培养两者的成纤维细胞。采用real-timeRT-PCR、Westernblot检测成纤维细胞IRF3mRNA、蛋白表达水平,转染siRNAs-IRF3后IRF3蛋白水平;检测TGF-茁1诱导后瘢痕疙瘩成纤维细胞增殖情况,细胞外基质Ⅰ型胶原蛋白(collagenⅠ)、a-平滑肌肌动蛋白(a-SMA)I型胶原与TGF-茁受体Ⅰ、Ⅱ,及TGF-茁1信号通路调节蛋白p-Smad2、Smad2、p-Smad3、Smad3表达水平。结果IRF3在瘢痕疙瘩组织中表达显著上调。下调IRF3的表达,显著抑制瘢痕疙瘩成纤维细胞的增殖,并抑制collagenⅠ、a-SMA的表达,同时抑制TGF-茁1诱导的瘢痕疙瘩成纤维细胞的TGF-茁受体Ⅰ、Ⅱ的表达。下调IRF3的表达亦抑制瘢痕疙瘩成纤维细胞p-Smad2、Smad2、p-Smad3、Smad3表达水平。结论IRF3表达下调通过抑制TGF-茁1/Smad信号通路,抑制瘢痕疙瘩成纤维细胞增殖和细胞外基质的表达。IRF3或为治疗瘢痕疙瘩新的靶点。 | 
			
	         
				| 关键词:  干扰素调节因子 3    瘢痕疙瘩成纤维细胞  细胞外基质  TGF-茁1/Smad 通路 | 
			 
                | DOI:10.12056/j.issn.1006-2785.2018.40.5.2017-2588 | 
            
                | 分类号: | 
			 
             
                | 基金项目:浙江省医药卫生一般研究计划项目(2015KYB244);浙江省教育厅高教重中之重学科(2008-255) | 
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                | IRF3 regulates proliferation of fibroblasts and expression of extracellular matrix proteins in keloid | 
           
			
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                | the First Affiliated Hospital of Wenzhou Medical University | 
		   
             
                | Abstract: | 
			
                | Objective To investigate the expression of Interferon regulatory factor 3 (IRF3) in keloid, and its function in regulating proliferation of keloid-derived fibroblasts(KFs) and expression of extracellular matrix(ECM) proteins. Methods Ten tissue samples of keloid and 8 samples of normal skin were cultured and fibroblasts were isolated. The expression of IRF3 mRNA and protein in human keloid tissues were detected by qRT-PCR and Western blotting, respectively. KFs were incubated with  siRNAs-IRF3  or  scramble  for  48  h;  then  cells  were  treated  with  TGF-茁1  (10  ng/ml)  for  24  h.  KFs  proliferation, the
expression of type I collagen, a-SMA, TGF-茁 RI /II, p-Smad2, Smad2, p-Smad3 and Smad3 proteins were detected.    Results
Expression of IRF3 mRNA and proterin was significantly higher in human keloid tissues than that in normal skin tissues. Down-regulation of IRF3 significantly inhibited KF proliferation and the expression of type I collagen, a-SMA, TGF-茁 receptor I and II in TGF-茁1-stimulated KFs. Furthermore, down-regulation of IRF3 suppressed the phosphorylation levels of Smad2 and Smad3 in human KFs induced by TGF-茁1.    Conclusion    Down-regulation of IRF3 inhibits the proliferation and ECM   expression
in KFs via suppressing the TGF-茁1/Smad signaling pathway. IRF3 may represent a novel target for treatment of the keloid disease. | 
	       
                | Key words:  IRF3    KFs    ECM    TGF-茁1/Smad  pathway |